Effect on skin hydration of using baby wipes to clean the napkin area of newborn babies assessor-blinded randomised controlled equivalence trial.docVIP
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Effect on skin hydration of using baby wipes to clean the napkin area of newborn babies assessor-blinded randomised controlled equivalence trial
Lavenderetal.BMCPediatrics2012,12:59
/1471-2431/12/59
RESEARCH ARTICLE
OpenAccess
Effectonskinhydrationofusingbabywipesto
cleanthenapkinareaofnewbornbabies:
assessor-blindedrandomisedcontrolled
equivalencetrial
TinaLavender1,3*,ChristineFurber1,MalcolmCampbell1,SureshVictor2,3,IanRoberts4,CarolBedwell1
andMichaelJCork5
Abstract
Background:Somenationalguidelinesrecommendtheuseofwateralonefornapkincleansing.Yet,thereisa
readiness,amongstmanyparents,tousebabywipes.Evidencefromrandomisedcontrolledtrials,oftheeffectof
babywipesonnewbornskinintegrityislacking.Weconductedastudytoexaminethehypothesisthattheuseof
aspecificallyformulatedcleansingwipeonthenapkinareaofnewborninfants(1month)hasanequivalent
effectonskinhydrationwhencomparedwithusingcottonwoolandwater(usualcare).
Methods:Aprospective,assessor-blinded,randomisedcontrolledequivalencetrialwasconductedduring2010.
Healthy,termbabies(n=280),recruitedwithin48hoursofbirth,wererandomlyassignedtohavetheirnapkinarea
cleansedwithanalcohol-freebabywipe(140babies)orcottonwoolandwater(140babies).Primaryoutcomewas
changeinhydrationfromwithin48hoursofbirthto4weekspost-birth.Secondaryoutcomescomprisedchanges
intrans-epidermalwaterloss,skinsurfacepHanderythema,presenceofmicrobialskincontaminants/irritantsat
4weeksandnapkindermatitisreportedbymidwifeat4weeksandmotherduringthe4weeks.
Results:Completehydrationdatawereobtainedfor254(90.7%)babies.Wipeswereshowntobeequivalentto
waterandcottonwoolintermsofskinhydration(intention-to-treatanalysis:wipes65.4(SD12.4)vs.water63.5
(14.2),p=0.47,95%CI-2.5to4.2;perprotocolanalysis:wipes64.6(12.4)vs.water63.6(14.3),p=0.53,95%CI-2.4
to4.2).Nosignificantdifferenceswerefoundinthesecondaryoutcomes,exceptformaternal-reportednapkin
dermatitis,whichwashigherinthewatergroup(p=0.025forcompleteresponses).
Conclusions:Babywipeshadanequivalenteffectonskinhydrationwhencomparedwithcottonwoolandwater.
Wefoundnoevidenceofanyadverseeffectsofusingthesewipes.Thesefindingsofferreassurancetoparentswho
choosetousebab
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